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61230

registered interest
date	10/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the impact of the proposals for value-based assessments published by the National Institute for Healthand Care Excellence on 22 March 2014 on patients' access to new cancer medicines.
tabling member printed	Lord Walton of Detchant
uin	HL190
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>A consultation on the National Institute for Health and Care Excellence's (NICE) proposals for value assessment is ongoing and no decisions have yet been made about any potential changes to NICE's methods of technology appraisal.</p><p> </p><p>The consultation will close on 20 June and we would encourage all those with an interest, including patients, clinicians, the National Health Service, industry, researchers and academic experts, to make their views known as part of this process.</p><p> </p> answering member printed Earl Howe grouped question UIN HL191 question first answered 16/06/2014 11:27:57 answering member 2000 label Biography information for Earl Howe
tabling member	1716 label Biography information for Lord Walton of Detchant

61231

registered interest
date	10/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what effect the new proposals for value-based assessments published by the National Institute for Healthand Care Excellence on 22 March 2014 have had on the availability of treatments to patients with (1) those forms of cancer which are more frequent in older people, and (2) rare types of cancer.
tabling member printed	Lord Walton of Detchant
uin	HL191
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>A consultation on the National Institute for Health and Care Excellence's (NICE) proposals for value assessment is ongoing and no decisions have yet been made about any potential changes to NICE's methods of technology appraisal.</p><p> </p><p>The consultation will close on 20 June and we would encourage all those with an interest, including patients, clinicians, the National Health Service, industry, researchers and academic experts, to make their views known as part of this process.</p><p> </p> answering member printed Earl Howe grouped question UIN HL190 question first answered 16/06/2014 11:27:57 answering member 2000 label Biography information for Earl Howe
tabling member	1716 label Biography information for Lord Walton of Detchant

60647

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Home Care Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the effectiveness of the commissioning of homecare services by the NHS.
tabling member constituency	Colne Valley
tabling member printed	Jason McCartney
uin	199709
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>It is important that patients, including those with cystic fibrosis, get those high cost drugs provided through homecare services on time.</p><p> </p><p>The Department commissioned a review of homecare medicine supply arrangements to ensure they deliver the best value for patients, the National Health Service and the provider market. The review report, <em>Homecare Medicines: </em><em>Towards a Vision for the Future,</em> was published in December 2011 and is available at:</p><p> </p><p>http://media.dh.gov.uk/network/121/files/2011/12/111201-Homecare-Medicines-Towards-a-Vision-for-the-Future2.pdf</p><p> </p><p>The outcome of subsequent improvement work is summarised in the further report, <em>Homecare Medicines: Towards a Vision for the Future - Taking Forward the Recommendations</em>, published in May 2014 and available at:</p><p> </p><p>www.uhns.nhs.uk/AboutUs/NHSHomecareMedicinesinEngland.aspx</p><p> </p><p>NHS England issued a patient safety alert on minimising the risks of omitted and delayed medicines for patients receiving homecare services on 10 April 2014. This recommended that all healthcare organisations that commission clinical homecare services:</p><p>- establish if medicine homecare services were used by their organisation and if incidents of omitted and delayed medicines had occurred;</p><p>- consider whether immediate action needed to be taken locally and, if required, develop an action plan, to reduce risk and the potential risk to patients;</p><p>- disseminate the alert to all medical, nursing, pharmacy and other staff involved in the care of homecare patients; and</p><p>- report patient safety incidents concerning homecare to the National Reporting and Learning Service.</p><p> </p><p>A copy of the patient safety alert is available at:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2014/04/psa-omitted-delayed-meds.pdf</p><p> </p><p>The Department continues to work with NHS England, homecare companies, pharmaceutical suppliers and the NHS to ensure that homecare arrangements are safe and deliver value for the NHS and improved outcomes for patients.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 199708 question first answered 16/06/2014 13:15:27 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3953 label Biography information for Jason McCartney

60664

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: EEA Nationals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the cost of treating European Economic Area nationals who received NHS treatment in each region of the UK in (a) 2010-11, (b) 2011-12, (c) 2012-13 and (d) 2013-14; and if he will make a statement.
tabling member constituency	Harrow West
tabling member printed	Mr Gareth Thomas
uin	199767
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The following information is not held by the Department:</p><p>- income health trusts in each region or nation of the United Kingdom received for the cost of treating European Economic Area (EEA) nationals;</p><p>- income each NHS trust in each region of England claimed back for the cost of treating EEA nationals;</p><p>- the number of EEA nationals who received NHS treatment;</p><p>- the cost of treating EEA nationals who received NHS treatment in each region of the UK.</p><p> </p><p>Claims to and from EEA countries are managed centrally by the Department on behalf of the whole of the UK. Income claimed from EEA countries is based on both data collected from trusts and arrangements in place with other EEA countries under bilateral agreements.</p><p> </p><p>The Department does hold information on claims to the UK from other EEA countries for healthcare costs. However, claims to the UK from other EEA countries are not based on nationality – they are based on whether the UK is judged to be responsible for someone's healthcare costs, for example due to residency in the UK or, for state pensioners, someone with a UK state pension who has retired to a different EEA country. It is therefore not possible to provide a breakdown of costs based on UK nationality.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199766 199768 199769 199770 question first answered 12/06/2014 16:01:12 answering member 3918 label Biography information for Jane Ellison
tabling member	177 label Biography information for Gareth Thomas

60665

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: EEA Nationals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the number of European Economic Area nationals who received NHS treatment in (a) 2010-11, (b) 2011-12, (c) 2012-13 and (d) 2013-14; and if he will make a statement.
tabling member constituency	Harrow West
tabling member printed	Mr Gareth Thomas
uin	199768
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The following information is not held by the Department:</p><p>- income health trusts in each region or nation of the United Kingdom received for the cost of treating European Economic Area (EEA) nationals;</p><p>- income each NHS trust in each region of England claimed back for the cost of treating EEA nationals;</p><p>- the number of EEA nationals who received NHS treatment;</p><p>- the cost of treating EEA nationals who received NHS treatment in each region of the UK.</p><p> </p><p>Claims to and from EEA countries are managed centrally by the Department on behalf of the whole of the UK. Income claimed from EEA countries is based on both data collected from trusts and arrangements in place with other EEA countries under bilateral agreements.</p><p> </p><p>The Department does hold information on claims to the UK from other EEA countries for healthcare costs. However, claims to the UK from other EEA countries are not based on nationality – they are based on whether the UK is judged to be responsible for someone's healthcare costs, for example due to residency in the UK or, for state pensioners, someone with a UK state pension who has retired to a different EEA country. It is therefore not possible to provide a breakdown of costs based on UK nationality.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199766 199767 199769 199770 question first answered 12/06/2014 16:01:12 answering member 3918 label Biography information for Jane Ellison
tabling member	177 label Biography information for Gareth Thomas

60666

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Reciprocal Arrangements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the costs of treatment of UK nationals in each other European Economic Area country in (a) 2010-11, (b) 2011-12, (c) 2012-13 and (d) 2013-14; and if he will make a statement.
tabling member constituency	Harrow West
tabling member printed	Mr Gareth Thomas
uin	199766
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The following information is not held by the Department:</p><p>- income health trusts in each region or nation of the United Kingdom received for the cost of treating European Economic Area (EEA) nationals;</p><p>- income each NHS trust in each region of England claimed back for the cost of treating EEA nationals;</p><p>- the number of EEA nationals who received NHS treatment;</p><p>- the cost of treating EEA nationals who received NHS treatment in each region of the UK.</p><p> </p><p>Claims to and from EEA countries are managed centrally by the Department on behalf of the whole of the UK. Income claimed from EEA countries is based on both data collected from trusts and arrangements in place with other EEA countries under bilateral agreements.</p><p> </p><p>The Department does hold information on claims to the UK from other EEA countries for healthcare costs. However, claims to the UK from other EEA countries are not based on nationality – they are based on whether the UK is judged to be responsible for someone's healthcare costs, for example due to residency in the UK or, for state pensioners, someone with a UK state pension who has retired to a different EEA country. It is therefore not possible to provide a breakdown of costs based on UK nationality.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199767 199768 199769 199770 question first answered 12/06/2014 16:01:12 answering member 3918 label Biography information for Jane Ellison
tabling member	177 label Biography information for Gareth Thomas

60667

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: EEA Nationals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much income each NHS trust in each region of England claimed back for the cost of treating European Economic Area nationals in (a) 2010-11, (b) 2011-12, (c) 2012-13 and (d) 2013-14; and if he will make a statement.
tabling member constituency	Harrow West
tabling member printed	Mr Gareth Thomas
uin	199770
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The following information is not held by the Department:</p><p>- income health trusts in each region or nation of the United Kingdom received for the cost of treating European Economic Area (EEA) nationals;</p><p>- income each NHS trust in each region of England claimed back for the cost of treating EEA nationals;</p><p>- the number of EEA nationals who received NHS treatment;</p><p>- the cost of treating EEA nationals who received NHS treatment in each region of the UK.</p><p> </p><p>Claims to and from EEA countries are managed centrally by the Department on behalf of the whole of the UK. Income claimed from EEA countries is based on both data collected from trusts and arrangements in place with other EEA countries under bilateral agreements.</p><p> </p><p>The Department does hold information on claims to the UK from other EEA countries for healthcare costs. However, claims to the UK from other EEA countries are not based on nationality – they are based on whether the UK is judged to be responsible for someone's healthcare costs, for example due to residency in the UK or, for state pensioners, someone with a UK state pension who has retired to a different EEA country. It is therefore not possible to provide a breakdown of costs based on UK nationality.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199766 199767 199768 199769 question first answered 12/06/2014 16:01:12 answering member 3918 label Biography information for Jane Ellison
tabling member	177 label Biography information for Gareth Thomas

60668

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: EEA Nationals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much income health trusts in each region or nation of the UK received for the cost of treating European Economic Area nationals in (a) 2010-11, (b) 2011-12, (c) 2012-13 and (d) 2013-14; and if he will make a statement.
tabling member constituency	Harrow West
tabling member printed	Mr Gareth Thomas
uin	199769
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The following information is not held by the Department:</p><p>- income health trusts in each region or nation of the United Kingdom received for the cost of treating European Economic Area (EEA) nationals;</p><p>- income each NHS trust in each region of England claimed back for the cost of treating EEA nationals;</p><p>- the number of EEA nationals who received NHS treatment;</p><p>- the cost of treating EEA nationals who received NHS treatment in each region of the UK.</p><p> </p><p>Claims to and from EEA countries are managed centrally by the Department on behalf of the whole of the UK. Income claimed from EEA countries is based on both data collected from trusts and arrangements in place with other EEA countries under bilateral agreements.</p><p> </p><p>The Department does hold information on claims to the UK from other EEA countries for healthcare costs. However, claims to the UK from other EEA countries are not based on nationality – they are based on whether the UK is judged to be responsible for someone's healthcare costs, for example due to residency in the UK or, for state pensioners, someone with a UK state pension who has retired to a different EEA country. It is therefore not possible to provide a breakdown of costs based on UK nationality.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199766 199767 199768 199770 question first answered 12/06/2014 16:01:12 answering member 3918 label Biography information for Jane Ellison
tabling member	177 label Biography information for Gareth Thomas

60669

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Foreign Nationals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect on devolved NHS services of changes to the way temporary migrants and visitors access the NHS in England.
tabling member constituency	Bury South
tabling member printed	Mr Ivan Lewis
uin	199632
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The intention of the relevant powers in the Immigration Act 2014 is to ensure that temporary migrants and visitors make a fair contribution towards the cost of any National Health Service healthcare they receive in the United Kingdom. Under the Act, temporary migrants will be required to pay a health surcharge when applying for a visa to reside in the UK for more than six months. The Devolved Administrations will receive a proportion of funds received from the surcharge. It will be for the Devolved Administrations to decide whether they spend this on health services and whether they amend their health service charging regulations for other visitors to the UK.</p><p> </p><p>If charges for some primary care services in England are introduced to visitors to the UK, those services will continue to be free of charge to people who are ordinarily resident in the UK. Therefore, residents of the Devolved Administrations will continue to be treated on the same basis as an English resident if they access primary care services in England.</p><p> </p><p>However, introducing charging for visitors may influence behaviour near the borders if visitors from overseas in England choose to travel to the other countries to access primary care services that they would have to pay for in England.</p><p> </p><p>The proposed new process for registering with the NHS in England is unlikely to affect the healthcare systems in the devolved administrations but it may mean that residents from the Devolved Administrations who access NHS care in England are asked more often to demonstrate that they are ordinarily resident in the UK, or otherwise entitled to free NHS care in England.</p><p> </p><p>We will continue our discussions with colleagues in the Devolved Administrations on all of these issues.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/06/2014 14:36:30 answering member 3918 label Biography information for Jane Ellison
tabling member	441 label Biography information for Mr Ivan Lewis

60670

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Northern Ireland
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether officials from his Department met their Northern Ireland counterparts in preparation for the EU Informal Health Council in Athens from 28 to 29 April 2014.
tabling member constituency	Bury South
tabling member printed	Mr Ivan Lewis
uin	199633
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>Regular meetings are arranged between officials from the Department and officials from the Devolved Administrations to discuss a range of European health matters. Departmental officials met virtually with their Northern Ireland counterparts in preparation for the Informal Health Council in Athens on 28-29 April 2014, and officials from Northern Ireland contributed to the briefing that was prepared for the Informal Health Council.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/06/2014 14:33:28 answering member 3918 label Biography information for Jane Ellison
tabling member	441 label Biography information for Mr Ivan Lewis